US Federal 2023-2024 Regular Session

US Federal Senate Bill SB460

Introduced
2/15/23  
Refer
2/15/23  
Report Pass
3/29/23  

Caption

Urban Indian Health Confer Act

Impact

The potential impact of SB460 on state laws and health policy is significant. By formally recognizing the need for urban Indian organizations to be consulted, the bill promotes greater inclusion of these communities within federal health initiatives. This could lead to improved health outcomes for urban Native Americans, as policies tailored to their unique needs may be developed. Furthermore, the legislation underscores the importance of addressing health disparities faced by Native Americans living in urban settings, who may not have the same access to health resources as those in rural areas.

Summary

Senate Bill 460, titled the 'Urban Indian Health Confer Act', aims to amend the Indian Health Care Improvement Act by establishing a confer policy for urban Indian organizations within the Department of Health and Human Services. This bill is designed to ensure that urban Indian organizations are consulted as the Department develops and implements policies related to Indian health care. By mandating this confer policy, the bill seeks to enhance the representation and involvement of urban Native American communities in health care decisions that affect them.

Sentiment

The sentiment surrounding SB460 appears to be largely positive, as it has support from advocates for Native American health care. Proponents argue that the bill represents a crucial step towards equitable health care access for urban Native Americans and recognizes their unique challenges. However, as with many legislative efforts, there may be contention regarding the adequacy of the proposed measures or concerns over implementation. Nonetheless, the overall tone is supportive of increased communication and collaboration between the federal government and urban Indian organizations.

Contention

Notable points of contention surrounding SB460 may arise over the specifics of how the confer policy will be implemented and monitored. While the requirement to consult with urban Indian organizations is welcomed, there could be debates about the efficacy of such consultations in actually improving health outcomes. Additionally, there may be concerns regarding the resources available to effectively involve urban Indian organizations in policy-making processes. The challenge will be to ensure that this participatory approach leads to meaningful change in health care accessibility and quality for urban Native Americans.

Companion Bills

US HB630

Same As Urban Indian Health Confer Act

Previously Filed As

US HB4722

Urban Indian Health Parity Act

US HB252

Inflation Prevention Act of 2023 This bill establishes a point of order that, when the annualized rate of inflation exceeds 4.5%, prohibits the House and Senate from considering legislation that provides new budget authority and is estimated to increase the Consumer Price Index for All Urban Consumers. The prohibition may be waived in the Senate by an affirmative vote of three-fifths of the Senate.

US HB207

Advanced Safe Testing at Residence Telehealth Act of 2023 This bill temporarily establishes several programs to provide telehealth services for at-home testing, evaluations, and other health care. Specifically, the bill establishes a demonstration program to provide assistive telehealth consultations and home- and community-based care for certain Medicare beneficiaries through Medicare Advantage (MA) plans. Covered services include certain at-home diagnostic tests, telehealth consultations, transportation services, and meal benefits. Beneficiaries must be (1) age 65 or older and eligible to enroll in a qualifying MA plan and to receive certain low-income subsidies under the Medicare prescription drug benefit, or (2) dually eligible for Medicare and Medicaid benefits. The bill also establishes a grant program for state Medicaid programs to cover similar at-home tests and related telehealth consultations. Additionally, the Department of Veterans Affairs must establish a pilot program to provide tests and related telehealth consultations free of charge to veterans.

US HB62

Safeguard Healthcare Industry Employees from Litigation and Distress Act or the SHIELD Act This bill establishes a framework to limit interference with persons seeking to provide or access reproductive health services at the state level. For the purposes of this summary, interference with persons seeking to provide or access reproductive health services includes acts to prevent, restrict, impede, or retaliate against a health care provider who provides reproductive health care services, any person or entity who helps health care providers to provide such services, any person who seeks to access such services, or any person or entity who helps another person to access such services. First, the bill reduces the allocation of funds under certain law enforcement grant programs for a state that has in effect a law authorizing state or local officers or employees to interfere with persons seeking to provide or access reproductive health services. Second, the bill prohibits interference with persons seeking to provide or access reproductive health care services by state or local officers or employees acting under color of law in any manner that would have a discriminatory effect on a woman, and by persons who are not state or local officers or employees and are attempting to implement or enforce a state law in circumstances affecting interstate commerce. The bill authorizes civil remedies for a violation, including damages and injunctive relief. Additionally, it authorizes criminal penalties for a violation involving the use of a deadly or dangerous weapon or the infliction of bodily injury.

US HB66

Native American Education Opportunity Act This bill addresses education savings account programs and charter schools for tribal students. Specifically, the bill requires the Department of Education and the Department of the Interior, at the request of federally recognized Indian tribes, to provide funds to tribes for tribal-based education savings account programs. Tribes must use these funds to award grants to education savings accounts for students who (1) attended or will be eligible to attend a school operated by the Bureau of Indian Education (BIE); or (2) will not be attending a school operated by the BIE, receiving an education savings account from another tribe, or attending public elementary or secondary school while participating in the program. Funds may be used for items and activities such as costs of attendance at private schools, private tutoring and online learning programs, textbooks, educational software, or examination fees. The Government Accountability Office must review the implementation of these education savings account programs, including any factors impacting increased participation in such programs. Additionally, the bill authorizes the BIE to approve and fund charter schools at any school that it operates or funds.

US HB35

Close the Medigap Act of 2023 This bill (1) expands guaranteed issue rights with respect to Medigap policies (Medicare supplemental health insurance policies), (2) eliminates certain limitations on Medigap policies for newly eligible Medicare beneficiaries, and (3) modifies other provisions related to Medigap policies. (Guaranteed issue rights require that a policy be offered to any eligible applicant without regard to health status.)

US HB8

Drug Pricing Transparency and Accountability Act

US HB202

States' Education Reclamation Act of 2023 This bill abolishes the Department of Education (ED) and repeals any program for which it has administrative responsibility. The Department of the Treasury shall provide grants to states, for FY2023-FY2031, for elementary, secondary, and postsecondary education purposes permitted by state law. The level of funding is set at the amount provided to states for federal elementary and secondary education programs and the amount provided for federal postsecondary education programs, respectively, for FY2023, minus the funding provided for education programs that the bill transfers to other federal agencies. States must contract for an annual audit of their expenditures or transfers of grant funds. Program administrative responsibility and delegation of authority are transferred as follows: ED's job training programs to the Department of Labor, each special education grant program under the Individuals with Disabilities Education Act to the Department of Health and Human Services (HHS), ED's Indian education programs to the Department of the Interior, each Impact Aid program under the Elementary and Secondary Education Act of 1965 to the Department of Defense, the Federal Pell Grant program and each federal student loan program to Treasury, and programs under the jurisdiction of the Institute of Education Sciences or the D.C. Opportunity Scholarship Program to HHS.

US HB229

World Deserves To Know Act This bill requires sanctions on certain members of the Chinese Communist Party (CCP) and officials of Chinese health agencies. It also addresses related issues. The President must impose visa- and property-blocking sanctions on any foreign person who is a CCP official and who is knowingly responsible for or complicit in (1) the disappearances of whistleblowers and citizen journalists in China relating to COVID-19, or (2) limiting free speech and academic freedom in China relating to COVID-19. The President must also impose such sanctions on specified individuals who have leadership positions in China's Center for Disease Control and Prevention and China's National Health Commission (NHC). The authority to impose such sanctions shall end when the President certifies to Congress that an independent and unimpeded investigation into the potential origin of COVID-19 from the Wuhan Institute of Virology has taken place. The bill also bars federal funds and certain federal student assistance from going to institutions of higher education that enter into a contract with any element or China-based affiliate of the NHC. Federal funding to the National Academy of Sciences may not be used to enter into a contract with any element or China-based affiliate of the NHC. The Government Accountability Office must report to Congress a review of all funds that the National Institutes of Health have made available to the NHC since FY2010. This report must also be publicly available.

US HB163

Security First Act This bill reauthorizes the Operation Stonegarden program from FY2024 through FY2027 and addresses other border security issues. (Operation Stonegarden provides grants to enhance the border security capabilities of state, local, and tribal governments.) From FY2024 through FY2027, the money from unreported monetary instruments seized from individuals crossing the U.S.-Mexico border and transferred into the Department of the Treasury general fund shall be made available without further appropriation to the Department of Homeland Security (DHS) to fund Operation Stonegarden. DHS must report to Congress on (1) DHS hiring practices from 2018 to 2021, and (2) whether certain Mexican drug cartels meet the criteria to be designated as foreign terrorist organizations. DHS must also periodically report to Congress about the technology needed to secure the U.S.-Mexico land border.

Similar Bills

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